Charles Joseph Portales DDS

NPI 1881774750 - Dentist - 1223G0001X

NPI Details
NPI 1881774750
Gender Male
Enumeration Date 10/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
CONROE TX, 77304, US
Phone (936) 494-0200
Fax (936) 494-2189
Business Location
CONROE TX, 77304-1349, US
Phone (936) 441-6079
Fax (936) 756-6902
Taxonomy Code 1223G0001X
License State Texas
License Number 19018
Remove 1881774750 NPI Number

According to our database, Dr. Charles Joseph Portales DDS NPI is 1881774750, taxonomy code is 1223G0001X and license number is 19018, license state is located at Texas. Charles Joseph Portales DDS physically located at 2101 Maurel Drive, Conroe TX, 77304. NPI Number Charles Joseph Portales DDS has the Individual type.

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1881774750 NPI number is provided on an as is basis without warranty of any kind. 1881774750 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Joseph Portales DDS are for informational purposes only.